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thr Ecer�reen �-� ,r0 N ST R U CT I O M-�►► � <br /> Ciiv G� <br /> everett PERMIT PERMIT NO. 15626 <br /> CITV HALL 259�8705 <br /> EVERETT.WA98201 � COMBINATION � BUILDING C�J MECHAkiCAI � PLUMBING <br /> OWNEF MRiLADOBE55 GiY 21P PNONE <br /> Dr. & Mrs. JV Curran 5130 View drive Everett 98203 355-8950 <br /> ARCMITECT OR pE51GNER MAIL �DORE55 QTY Z�P PMONE <br /> GENERA�CONTRAGTOR MAIL RDDRE55 CItY 21P PMONE IIGENSE I <br /> $a1110 <br /> MECMANIG�L CONTPRGTOR MAIL RDORESS QTY 21P PHONE LICENSE I <br /> PWMBINGCONTRACTOR MAILADDFE55 CITY ZiP FMONE 4CENSE� <br /> GlA55OF WORK <br /> L{KJEW ❑ ADDITION ❑ ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE O SIGN ❑ WOOD STOVFJFIREPLACE INSERT <br /> VALU�TION OF WORK <br /> = 250��0�.00 <br /> UESCRIBE WORN <br /> New Residence <br /> PROPOSEO USE OF BUILDING <br /> Single Family Resid.�nce I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEG�L DESGRIPTiON OF VROPERTY�SMOW BELOn JR ATTACN FOUR COPIES) COftRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or�� BLOCN_OF Edgewater GOVERNING THIS TYPE OF WOFK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOP RDOPESS SIGNRTURE OF COYTRRCTOR OR AUTMORRED RGENT OATE <br /> 3829 Shore Avenue X <br /> PLUMBIN6 MECHANICAL <br /> N0. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATERCLOSETjTOILET� AIR COND.UNITS- M.P. EA. <br /> BATMTUB REFRIGERATION UNITS- H.P.EA. <br /> LAVATORV�WASM BASIN) BOILERS- H.P.EA. <br /> SHOWER GAS FIRED A.C.UNITS-TONNAGE EA. <br /> KITGHEN SINK d�ISP. FORCED AIR SYSTEMS- B.T.U. M EA. <br /> DISHWASHER WALL HEATERS- B.T.U. M <br /> LAUNDRY TRAY UNIT HEATERS- B.T.U. M <br /> GLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER MEATER CIOTHES DFVERS <br /> URINAL ' �ENTILATION FAN <br /> ORINKING FOUNiAIN RANGE MOOD <br /> FUJOR DRAIN AIR MANDLING UNIT - C.F.M. <br /> VACUUM BREAKERS STOVE- WOO� <br /> ROOF DRAINS- RAINLEADERS METAL FIREPLACE 6 CHIMNEV <br /> SINK(SER�ICE-BAR,ETC.) PIREPLACE INSERT <br /> HEAT PUMP <br /> SUD iOTAL + 36 00 SUB TOTAL f <br /> PERMIT f PERMIT f <br /> 70TAL FEE f 36 00 TOTAL FEE f 34 50 <br /> SIDE YARD SETBACH STREET SETOACK REAR YARD SETOACK PLAN CMECK NUMBER PLAN CHECK FEE <br /> ��}� Z$� ZS' 85/15626 FEEq43.95 RECEIPTNO. <br /> 81372 <br /> USE ZONE LOT AREA VACANT SITE f EES �ALUATION FEE <br /> A-5 41�SOO Sq. Ft. yE5 '. .NO <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWEILING UNITS <br /> V-N R-3 1 BUIL�ING S 2$�r�0�. 808 0� <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCC.LOAD <br /> 5592 Sq. Ft. 2 PLUMBING 36 00 <br /> FIRE ZONE BASEMENT FIRE SPfi1NNLERS MEGHANICAL <br /> REOUIRED 34 $0 <br /> Partial vEs X7po <br /> APPROVALS BV DAiE OTHER <br /> 1.£NVIRONMENTAL CHECK LiST pENA�Ty U.B.C. <br /> SEC.?03(a� <br /> 2.�UILOING PLANS -�' <br /> 3.FIREMYDRANT � TOTRL O�B SO <br /> d.FIRE PHOTECTION SYSTEM• PEHMIT VALIDRTION <br /> WHEN PROPERLY VALIDATED�IN THIS 6PA�E)THI�19iY0UP P6R�11T _ ;;�1 <br /> 5.GRADING _ . i / n ;� _ ' ! L ..: . � �.: 0. I . � <br /> 6.DRAINAGE ' . � � � . �j <br /> �!) <br /> 7.ENVIRONMENTAL iMPFCT 3TATEMFNT I il <br /> �B.MEALTHDISTRICT �' ' � ' ' '' � � � <br /> � i � ; <br /> APPLICAliON ACC.BV PLANS CHECNED BV APPR. FOR ISSUANCE BY <br /> � . Jef . . . . . . . i <br /> f ADDRESS I-IL[ <br />